Is it possible to add elkar to the mixture?


Description of the drug and indications for use

Elkar is a medicine that improves metabolism. In most cases, it is prescribed to weak and premature children to accelerate physical and mental development. In addition, the use of the drug is indicated for:

  • jaundice;
  • decreased hemoglobin;
  • poor appetite (for weight gain);
  • with adynamia (lethargic behavior, muscle weakness);
  • decreased immunity;
  • open oval window (this is normal for children under one year old);
  • for skin rashes, etc.

Elkar can be used from birth, but only under medical supervision

The medicine is considered harmless, so doctors safely recommend it. According to Dr. Komarovsky, Elkar is more necessary to calm the mother than to treat the child.

There are no serious diseases that can be cured with this drug. And non-serious illnesses, as a rule, go away without Elkar.

E.O. Komarovsky

https://www.komarovskiy.net/faq/preparat-elkar.html

The drug has two forms of release:

  • injection;
  • solution for oral administration.

They can be used at any age.

Release formActive substanceExcipientsIndicationsSide effectsContraindications
Oral solutionLevocarnitine300 mg per 1 ml
  • citric acid monohydrate;
  • methyl parahydroxybenzoate;
  • propyl parahydroxybenzoate;
  • purified water.
  • skin, neurological, gastroenterological, endocrine diseases;
  • malnutrition, adynamia, hypotension, consequences of birth injuries.
gastrointestinal disordershypersensitivity to the components of the drug
  • allergy;
  • muscle weakness.
Injection100 mg per 1 ml or 500 mg per 1 ampouledistilled water
  • hypoxia, cerebrovascular accident;
  • cardiovascular diseases;
  • brain damage.

Release forms of the drug Elkar (gallery)

Elkar price

You can buy Elkar through pharmacy chains or online departments at prices that are influenced by the form of release of the drug, the volume of bottles and the level of trade margins. The approximate cost of medications will be (see table):

Product type Internet price, in rubles Pharmacy price tag, in rubles
Drops 25 ml 30% 314 339
Effervescent granules 5 g sachets 10 pcs. 363 390
Ampoules 100 mg/ml 5 ml 10 pcs. 399 430
Drops 30% 50 ml 420 450
Drops 30% 100 ml 590 620

Dosage and methods of administration for newborns

The dosage for children under three years of age should be determined by a doctor depending on the disease. As a rule, newborns are recommended to take 2-10 drops 30 minutes before meals 2-3 times a day. The course of treatment is 2-6 weeks. Drops can be given either pure or diluted (in water, breast milk or formula).

It is also possible to dilute the medicine in a glucose solution: 1 ml of Elkar (20%) per 40-50 ml of glucose solution (5%). Give 6-15 ml of the resulting substance half an hour before feeding. The course of treatment ranges from 2 weeks to 1.5 months.

How to take it correctly?

In order not to harm the child, any pharmaceutical drug must be taken according to the instructions. If the doctor has prescribed Elkar, he must indicate the dosage of the drug on an individual basis. It is important to take into account all significant factors: age, body weight of the child, his diagnosis, as well as the severity of the condition. However, there are general principles that can be followed in many cases.

For those who are concerned that they may make a mistake in the dosage of Elkar, instructions for use for children are described below. Note that previously the manufacturer produced 2 types of solution - 20 percent (indicated for newborns and children under 3 years old) and 30 percent - only for those older. Currently there is only one release form – 300 mg/ml. We will give the usual dosage of the drug that is used for children depending on age.

The dosage of Elkar must certainly be calculated by a doctor.

Elkar for newborns is used in the dosage prescribed by the doctor. Infants from 1 month to a year are usually offered 5 drops 2 times a day. It is recommended to dissolve it in milk, formula, glucose solution, water; it can be given without additives in its pure form. Let us note once again that for children under 3 years of age, the dose must be calculated by a doctor; we have given only the average value.

Contraindications and side effects

Sometimes the following side effects may occur when taking Elkar:

  • disruptions in the gastrointestinal tract;
  • muscle weakness;
  • allergy;
  • discomfort or pain in the stomach;
  • insomnia;
  • dizziness;
  • decreased appetite (rare);
  • increased excitability.

The drug Elkar has contraindications, so before using it you should consult a qualified doctor.

Newborns are the most sensitive to external factors, especially to taking medications, so it is necessary to balance the benefits of taking Elkar with the possible harm from side effects.

Elkar can be used only if the benefits of the drug outweigh the risk of side effects

Main indications

The main property of Elkar is its ability to improve metabolism, so it is given to weakened, premature babies, as well as to those who lag behind their peers in mental or physical development. Elkar may be indicated for infants and newborns if:

  • there was a birth injury;
  • there was asphyxia;
  • poorly developed (or absent) sucking reflex;

If the sucking reflex is insufficient, it must be stimulated

  • the baby has poor appetite, lack of body weight, malnutrition;
  • jaundice was diagnosed;
  • decreased muscle tone, the child is lethargic and inactive;
  • the baby has low immunity and gets sick often;
  • the period of preparation for surgery, or recovery time after surgery;
  • the child lags behind his peers in development, cannot concentrate, is extremely distracted;
  • The baby is undergoing rehabilitation after a serious illness or injury.

As you can see, Elkar can be used for newborns; it is allowed from birth. The medication is available in the form of a solution - one option is for injection, the second is for oral administration (in the form of drops). Each option is convenient in certain cases. The table indicates when injection therapy is preferable and when it is sufficient to use the drug in the form of drops.

Table on the use of various forms of the drug:

Type of solutionWhen to useContraindicationsSide effects
Drops orally
  • for malnutrition, hypotension and birth injuries;
  • jaundice;
  • during diseases of a neurological nature;
  • for the treatment of various dermatitis;
  • for gastroenterological disorders;
  • in combination with other drugs during the treatment of endocrine diseases
Almost not. However, individual intolerance to one or more components of Elkar may occur Sometimes there is a disturbance in the digestive system
Injections
  • with hypoxia;
  • in cardiology;
  • for brain disorders
Allergic manifestations are possible; decreased muscle tone

Elcar drops are also used for jaundice in newborns (see also: Ursofalk suspension for newborns for jaundice)

Combination with other medications

Elkar can be combined with a wide range of medications and vitamins, but only a qualified doctor can select the right remedy and dosage, as well as assess the advisability of taking them.

  1. In accordance with the instructions, the simultaneous use of Elkar with glucocorticosteroids increases the accumulation of carnitine in tissues (except the liver).
  2. Anabolic drugs enhance the effect of the drug.
  3. Often, neurologists prescribe Elkar for newborns along with nootropics: Glycine, Pantogam (syrup), Picamilon, Phenibut. This treatment regimen is usually recommended for hyperexcitability.
  4. For increased intracranial pressure, mixtures with Citral are prescribed.
  5. In case of damage to the central nervous system, nootropics can be prescribed along with Elkar: Cortexin, Encephabol, Kudesan (as a cardiotonic).
  6. Cavinton is often prescribed (improves blood circulation and brain metabolism). However, it is contraindicated in children under 18 years of age due to the lack of clinical trials.
  7. For lethargic behavior and poor appetite, pediatricians recommend taking medication with vitamin D and Creon 10,000.

During pregnancy

Due to the lack of research on the safety and effectiveness of Elkar, its use during pregnancy is not recommended by the instructions. According to reviews of mothers who received carnitine while carrying a child, the newborn had no abnormalities in development and growth, but during the entire treatment they were observed by a doctor who compared the benefits and risks. During lactation, taking the drug is also not recommended.

Pregnant woman at the window

Analogues of the drug

Doctors prescribe Elkar both as a prophylactic and for the treatment of various diseases. To eliminate serious problems, stronger medications may be needed, and to improve appetite and weight gain, there are medications that can be used instead of Elkar.

AnalogsRelease formIndicationsSide effectsContraindications
Glycinepills
  • increased excitability;
  • emotional instability;
  • sleep disturbance;
  • consequences of birth trauma;
  • perinatal encephalopathy (central nervous system disorder).
allergic reactionhypersensitivity to the components of the drug
Inosine-eskomsolution for intravenous administration
  • Congenital heart defect;
  • cardiovascular diseases.
allergic reaction
  • hypersensitivity to the components of the drug;
  • hyperuricemia (increased levels of uric acid in the blood).
Potassium orotatepills
  • cardiovascular diseases;
  • heart rhythm disturbance;
  • malnutrition;
  • muscular dystrophy.
  • dyspeptic symptoms (heaviness in the stomach, flatulence, etc.)
  • allergic reaction.
  • liver cirrhosis with ascites (advanced cirrhosis);
  • nephrourolithiasis (urolithiasis);
  • chronic renal failure;
  • hypersensitivity to the components of the drug.
Karniten
  • solution for oral administration;
  • solution for intravenous administration.
  • carnitine deficiency;
  • myocardial metabolic disorder.
hypersensitivity to the components of the drug
Carnitine chlorideinjection
  • cerebrovascular accident;
  • brain damage;
  • growth retardation.
allergic reaction
Cocarboxylasesubstance for the preparation of solution for injection
  • perinatal hypoxic encephalopathy (damage to the nervous system);
  • respiratory failure;
  • hypoxia.
allergic reaction
Koriliprectal suppositoriesmalnutritionallergic reaction
  • proctitis;
  • rectal bleeding;
  • hypersensitivity to the components of the drug.
Riboxin
  • pills;
  • solution for intravenous administration
  • congenital heart defects;
  • cardiac arrhythmia.
  • Increased uric acid concentration;
  • allergic reaction.
  • hyperuricemia;
  • hypersensitivity to the components of the drug.
Cortexinpills
  • cerebrovascular accident;
  • encephalopathy.
allergic reactionhypersensitivity to the components of the drug
Pantogampills
  • psycho-emotional overload;
  • improved concentration;
  • developmental delay;
  • perinatal encephalopathy.
allergic reaction
  • hypersensitivity to the components of the drug;
  • acute severe kidney disease.

Elkar analogue drugs (gallery)

Reviews

The son was born premature, the sucking reflex was absent. We started taking Elkar from the age of two weeks. The child began to gain weight.

karinka120281

https://irecommend.ru/content/effektivnyi-preparat

My children were born premature, and we delivered Elkar while still in the maternity hospital. I noticed that the children began to burp heavily, like a fountain. I stopped giving it and the regurgitation disappeared. I did not notice any benefit from this drug: no weight gain, no improvement in appetite. I don't see the point in poisoning children with them.

ma_tanya

https://irecommend.ru/content/effekta-ne-zametili-0

Elkar was first appointed to her daughter when she was not even a month old. Due to poor weight gain and frequent regurgitation, the pediatrician prescribed Elkar 5 drops 2 times a day for a month. I did not notice an increase in appetite, and the regurgitation did not stop. If before taking the drug we did not have any special problems with sleep, then after a week my daughter began to wake up frequently. Then it got to the point that the child did not sleep all night. A few days after stopping the drug, my daughter began to sleep a little better. I did not notice any positive effect from Elkar.

Ann Helner

https://otzovik.com/review_1758799.html

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For what purpose is the drug “Elkar” prescribed for infants? Reviews of the effectiveness and indications of this drug can be found in this article. It also provides information about what properties the medication mentioned has, in what dose it is taken, and whether it has side effects.

Description, composition, form, packaging

The drug "Elkar" for infants, reviews of which are controversial, is available in the form of a solution for oral administration. The active element of this remedy is levocarnitine. The medicine also contains additional ingredients such as propyl parahydroxybenzoate, citric acid monohydrate, purified water and methyl parahydroxybenzoate.

The medication "Elkar" (solution for infants) is available in the form of a transparent, colorless or slightly colored liquid with a specific odor. You can purchase it in dark glass dropper bottles, which, together with instructions, a measuring spoon or glass, are contained in cardboard packs.

Analogs

Among Elkar's analogues, there are levocarnitine-containing substitutes (similar in the active substance of the composition) and drugs that show the same therapeutic effect, but contain a different active component. Popular products on pharmacy shelves are:

  • Carnitene;
  • Glutamic acid;
  • Levocarnol;
  • Arnebia;
  • Carnifit;
  • Levocarnitine.

Carnitene solution in packaging

Pharmacology

What is Elkar solution for infants? The instructions state that this product belongs to the category of drugs that have a positive effect on the course of metabolic processes and the digestive tract.

“Elcar” is a synthetic analogue of the amino acid L-carnitine, which is produced in the human body.

Being a universal corrector and stimulator of energy metabolism, this medication improves not only the functioning of the nervous system, but also the structure of the brain as a whole.

Taking the drug "Elkar" accelerates the body's recovery processes after surgery and serious illnesses. The drug also improves the condition of internal organs and systems, ensuring a person’s ability to withstand high loads.

How does the drug work?

The main active ingredient in Elkar is carnitine, a substance that participates in the body’s metabolic processes and helps convert the nutrients the child receives from food into energy. Normally, L-carnitine is synthesized in the human body in the required quantity. Sometimes this substance is not produced enough - in order to support a child who has disorders associated with metabolism or the central nervous system, he is shown a drug with synthesized levocarnitine. The drug is available in bottles of different sizes - 25, 50 and 100 ml.

Elkar is not a medicine, it is rather a dietary supplement. More recently, it was classified as a vitamin; today Elkar is considered a vitamin-like substance. Why is this drug needed? It increases the digestibility of food, normalizes metabolism, gives strength, is good for the heart and effectively calms the nervous system.

Elkar for infants is most often used if the child was born premature. It is indicated for older children in cases where there is a developmental delay, as well as for those who have been diagnosed with hypotrophy.

Features of the drug

What properties are inherent in the Elkar solution for infants? Reviews report that the medication is very effective and is well tolerated by children. The active ingredient of this medication (L-carnitine) is a natural substance that is very similar in structure to B vitamins.

The mentioned amino acid takes part in all metabolic processes. It acts as a carrier of aliphatic acids into mitochondria, where they undergo beta-oxidation to form ATP and acetyl coenzyme A.

According to the instructions and reviews of experts, the effect of L-carnitine is aimed at:

  • increasing human physical endurance;
  • normalization of lipid and protein metabolism;
  • increased enzymatic activity and secretion of digestive juices;
  • inhibition of the synthesis of oxocarboxylic acids;
  • improving food absorption;
  • reduction of excess fat mass;
  • reduction of hyperlactic acidemia;
  • providing tissues with energy;
  • inhibition of anaerobic glycolysis.

It should also be noted that thanks to L-carnitine, glycogen is consumed efficiently and economically, and its reserves in muscle tissue and liver increase significantly.

Among other things, growth vitamin is able to stimulate the production of proteins and ensure the breakdown of lipids, significantly reducing the percentage of fat contained in the body.

After taking the medication, the patient normalizes the increased metabolism due to hyperthyroidism. This effect is explained by the fact that L-carnitine is an indirect antagonist of thyroid hormones produced by the thyroid gland.

Elkar drug

Medical classification classifies the drug Elkar as a group of drugs that improve metabolic processes and energy metabolism in tissues. This allows the product to be used as a corrector of metabolic processes. The active substance of the composition is levocarnitine or carnifit - a natural component that increases the body’s resistance to physical stress.

Composition and release form

Elkar is available in three forms: granules for solution, oral drops and ampoules for intramuscular administration. See the table for the composition and description of each type:

Drops Granules Ampoules
Description Transparent, colorless with a specific aroma Effervescent powder Clear liquid
Levocarnitine concentration, mg 300 per 1 ml 900 per 1 sachet 100 per 1 ml of solution
Compound Citric acid monohydrate, water, propyl and methyl parahydroxybenzoate Acesulfame potassium, citric acid anhydrous, lemon food flavor, sodium carbonate, silicon dioxide Water
Format Dropper bottles of 25 or 50 ml, bottles with a measuring cup of 100 ml 10 pieces. in a pack 10 ampoules of 5 ml

pharmachologic effect

Elkar refers to drugs that correct metabolic processes. The drug is designed to improve fat and protein metabolism, increase the secretion and activity of gastric juice enzymes, accelerate the absorption of food, reduce fat content in muscles and excess weight. The component transfers palmitic acid from the cytoplasm to the mitochondria, where it undergoes an oxidation process and does not affect the function of the thyroid gland.

The active substance L-carnitine is related to growth vitamins of group B, takes part in metabolic processes, acting as a carrier of long-chain fatty acids through cell membranes, and increases appetite. L-carnitine reduces the degree of lactic acidosis, increases glycogen reserves in muscles and liver, and reduces component consumption.

Due to the active substance, the drug exhibits lipolytic and anabolic effects, normalizes metabolism in hyperthyroidism, acting as an indirect antagonist of the action of thyroid hormones. After absorption in the intestine, Elkar reaches a maximum concentration after three hours, acts for 9 hours (three for intravenous administration), and is found in the liver, myocardium, and muscles. L-carnitine is excreted by the kidneys.

Elkar solution in a bottle and measuring spoon

Indications for use

According to the instructions for use, Elkar for adults is prescribed as part of complex therapy for the following indications:

  • increased performance, endurance, decreased fatigue;
  • intense physical and psycho-emotional stress;
  • rehabilitation after illnesses, surgeries, injuries;
  • acceleration of tissue regeneration;
  • chronic gastritis and pancreatitis;
  • psoriasis, seborrheic eczema, focal scleroderma, lupus erythematosus;
  • mild hyperthyroidism;
  • neurological manifestations of brain lesions;
  • anorexia nervosa, physical exhaustion;
  • lack of carnitine, increased loss in diseases (myopathy, cardiomyopathy, mitochondrial diseases, hereditary diseases with mitochondrial deficiency);
  • improvement of speed and strength indicators, increase in muscle mass and reduction of body fat metabolism (improves metabolism);
  • prevention of post-training syndrome, acceleration of recovery processes after physical activity;
  • traumatic injuries, to accelerate muscle regeneration.

Under the supervision of a physician, the drug can be used in pediatrics up to the age of three for the following indications:

  • premature newborns, children after birth trauma, malnutrition, hypotension or asphyxia;
  • sluggish sucking reflex, low or low weight gain, decreased muscle tone, lack of appetite;
  • insufficiency of development of motor and mental functions of the body, prevention of these disorders;
  • growth retardation and underweight in adolescents under 16 years of age.

Indications in pediatric practice

For what purpose is Elkar solution prescribed for infants? Reviews from pediatricians and instructions indicate the following indications for this drug:

  • decreased tone of muscle tissue, hypotrophy, consequences of birth trauma, sudden loss of strength in newborn children, consequences of oxygen starvation;
  • weakening of the sucking reflex;
  • slow growth;
  • recovery period after surgery and serious illnesses.

This drug is also prescribed for insufficient body weight in children under 16 years of age.

General indications of the drug

Now you know for what conditions the Elkar medication is prescribed for infants. Reviews from neurologists, other specialists, and instructions indicate that this drug has other indications. These include:

  • anorexia nervosa;
  • encephalopathy (as an additional medicine);
  • chronic inflammation of the pancreas;
  • chronic gastritis;
  • mild forms of hyperthyroidism;
  • levocarnitine deficiency;
  • high physical activity;
  • organic aciduria;
  • skin pathologies (as an additional medicine);
  • mitochondrial pathologies;
  • hereditary diseases.

Elkar solution for infants: instructions

For newborns, this drug is prescribed 30 minutes before breastfeeding.

Before using the drug, 3 ml of a 20% solution is mixed with 200 ml of a 5% glucose solution. The finished mixture is used in an amount of 10-20 ml.

According to pediatricians and instructions, this medication can be given to babies from the first day of life. It is also prescribed to newborn children with birth trauma or who have suffered oxygen starvation, but only from the fifth day of life.

The duration of therapy with this solution is 15-40 days.

Side effects

Does the drug "Elkar" cause unwanted effects? For infants (mothers' reviews of this remedy will be presented below), this medication is prescribed without any fear, since it quite rarely contributes to the occurrence of adverse reactions.

In some cases, while taking this solution, patients experience epigastric pain, develop allergic manifestations and dyspeptic symptoms. People with uremia kidneys may experience muscle weakness.

If you observe such effects, it is recommended to consult a doctor.

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